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Health-care settings
>> In 19 countries with available data, a quarter of people living with HIV
report experiencing some form of discrimination in health care.
>> People living with HIV who perceive high levels of HIV-related stigma are
2.4 times more likely to delay enrolment in care until they are very ill.
>> Fear of HIV-related stigma owing to a potential HIV-positive status
disclosure is a deterrent to HIV testing among gay men and other men
who have sex with men and transgender women.
>> In 19 countries with available data, approximately one in three women
living with HIV report experiencing at least one form of discrimination
related to their sexual and reproductive health in health-care settings.
Education settings
>> Violence and discrimination in education settings have a potentially high
impact on school retention, self-image and self-stigma and in turn in
present and future vulnerability to HIV.
>> The proportion of lesbian, gay, bisexual and transgender (LGBT) students
experiencing school violence and bullying range from 16% to 85% and
the prevalence of violence is between three and five times higher among
LGBT students than among their non-LGBT peers.
>> Specific data on sexual violence in and around schools are limited.
Nevertheless, available figures suggest that sexual violence and abuse in
schools, perpetuated by staff and by other students, is a reality for many
students, particularly girls.
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Workplace settings
>> A large proportion of people living with HIV are unemployed and young
people living with HIV have a much higher unemployment rate than adults.
>> People living with HIV have reported losing their job or source of income as
a result of their HIV status alone.
Justice system
>> Eighty-eight countries report having laws criminalizing nondisclosure, expo-
sure and transmission of HIV or prosecutions based on general criminal laws.
>> Sixty-nine countries report they have laws that specifically criminalize same-
sex sexual activity.
>> Ninety-eight countries report that they criminalize some aspect of sex work.
>> One hundred countries report that drug use or possession of drugs for
personal use is a criminal offence or grounds for compulsory detention.
>> Nine out of 107 reporting countries report that they impose the death
penalty for drug-related offences.
>> Four countries have reported that they continue to criminalize mother-to-
child transmission of HIV, where women can be prosecuted for transmitting
HIV to their fetus.
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Without addressing HIV-related
stigma and discrimination, the
world will not achieve the goal of
ending AIDS as a public health
threat by 2030.
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HIV-RELATED STIGMA AND
DISCRIMINATION: WHAT IS IT?
Irrational fears of HIV infection and negative attitudes and judgments
towards people living with HIV persist despite decades of public information
campaigns and other awareness-raising efforts.
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impairs participation in learning activities. Children and young people living
with HIV may eventually drop out of school or continuously perform poorly
and gain nothing out of the years they spend in school.
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All these forms of stigma and
discrimination result in people
living with or affected by HIV being
denied their rights.
And all must be stopped.
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THE COMMITMENT
Countries have committed to end the AIDS epidemic by 2030 as part of
the 2030 Agenda for Sustainable Development. Eliminating stigma and
discrimination in all its forms is fundamental to achieving the 2030 Agenda
for Sustainable Development’s promise of leaving no one behind and
reaching the Sustainable Development Goals and targets by 2030.
The UDHR has also spawned many other important international treaties,
including the International Convention on the Elimination of All Forms
of Racial Discrimination, the Convention on the Elimination of All Forms
of Discrimination against Women and the United Nations Convention on
the Rights of the Child. Furthermore, the UDHR continues to inspire new
treaties. One of the most recent, the Convention on the Rights of Persons
with Disabilities, is also one of the most rapidly ratified.
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GLOBAL PARTNERSHIP FOR
ACTION TO ELIMINATE ALL
FORMS OF HIV-RELATED
STIGMA AND DISCRIMINATION
The global partnership’s goal is to reach zero HIV-related stigma and
discrimination.
Established after a public call for action at the 41st meeting of the UNAIDS
Programme Coordinating Board (PCB) by the PCB NGO delegation, the
global partnership is co-convened by UNAIDS, the United Nations Entity
for Gender Equality and the Empowerment of Women (UN Women), the
United Nations Development Programme (UNDP) and the Global Network
of People Living with HIV (GNP+).
The United Nations co-conveners are working with United Nations agencies
and aligning efforts with implementing partners that are supporting
countries addressing policy and programme barriers to HIV services,
including HIV-related stigma and discrimination.
All countries and partners committed to the HIV response and human rights
principles are encouraged to join the global partnership and use their
collective strength to eliminate HIV-related stigma and discrimination.
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There are enough human rights
treaties and legally-binding
obligations to eliminate HIV-related
stigma and discrimination.
It is now time for action.
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Countries planning and/or implementing initiatives addressing stigma and
discrimination in at least three of the initial focused settings financed by
domestic, bilateral or multilateral donors will be invited to join the global
partnership early, in order to share their best practices and lessons learned.
>> Convene and link United Nations agencies, Member States and other
stakeholders to catalyse leadership, ownership and increased action in
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advancing legal and policy frameworks that address HIV-related stigma
and discrimination, sharing of best practices, knowledge and promotion
of innovative strategies and the implementation of HIV-related non-
discrimination programmes, at the international, regional and local
levels.
>> Identify and support opportunities for the scale-up of programmes
proved to address stigma and discrimination, prioritizing community and
United Nations engagement.
>> Optimize and mobilize resources in support of the implementation
of HIV-related non-discriminatory evidence-informed programmes,
identifying synergies with existing funding mechanisms and
opportunities.
>> Strengthen the target-setting, monitoring and reporting mechanisms
that will inform the implementation status of HIV non-discriminatory
policies and programmes, including reporting by gender, HIV status or
key population, the type of discrimination experienced and how the case
is resolved.
>> Advance community leadership in efforts to advance laws, policies and
programmes, including their participation in monitoring and reporting
progress and in other accountability mechanisms.
Since countries joining the global partnership will have different needs,
contexts and stages of progress, country actions will be tailored to the
local context. However, all countries will seek to implement a core set of
recommended packages of programmes and policies for each setting.
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Who will benefit?
The global partnership will have, initially, a special focus on the people who
are being left behind in the global response to HIV. These include people
living with HIV, women and girls, particularly adolescent girls and young
women, and key populations—gay men and other men who have sex with
men, sex workers, transgender people, people who inject drugs, prisoners
and other incarcerated people and migrants.
Each government will work with the support of technical partners on the
implementation of a national road map for action that will include the
following activities:
>> Establish a national multistakeholder core group on HIV-related stigma
and discrimination whose key mandate will include tracking HIV-related
stigma and discrimination, particularly in six settings, and support
monitoring of governments and other stakeholders. Where groups with
similar or overlapping objectives exist, governments will work to include
the above functions as part of their work.
>> Undertake or build on existing policy, programme and legal assessments
about HIV-related stigma and discrimination in the six settings, based
on indicators agreed by the co-conveners and the UNAIDS strategic
information stigma and discrimination working group.
>> Develop a costed road map for national action to address HIV-related
stigma and discrimination in the six settings through a wide consultative
process. Road maps for national action must comprise activities and
initiatives that respond to the indicators in the assessment methodology
tool, including legal environment assessments.
>> Where national processes are under way, or similar action plans have
been developed, governments will work with national stakeholders to
complement any gaps in existing plans to avoid duplication.
>> Utilize suggested stigma and discrimination indicators, including those
contained in the Global AIDS Monitoring Guidelines, to monitor progress
and produce an annual report based on progress in implementing the
road maps for national action addressing stigma and discrimination in
the settings.
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Countries will create an
environment in which there
is an urgency to reach
zero discrimination.
Initial focus
Based on the recommendations provided by civil society organizations,
global networks of people living with HIV and key populations during
extensive consultations with GNP+, the group of co-conveners of the global
partnership propose that road maps for national action could focus initially,
but will not be limited to, the following settings:
>> Health-care settings.
>> Workplace settings.
>> Educational settings.
>> Justice settings.
>> Household settings: individuals, families and communities.
>> Emergency and humanitarian settings.
Populations
Programmes to eliminate HIV-related stigma and discrimination will focus
on the people being left behind, including, but not limited to, people living
with HIV, key populations (gay men and other men who have sex with men,
sex workers, transgender people, people who inject drugs, prisoners and
other incarcerated people and migrants) and women and girls, particulary
adolescent girls and young women.
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UNAIDS
Joint United Nations
Programme on HIV/AIDS
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1211 Geneva 27
Switzerland
unaids.org